What you’ll learn:           

• You should not use Ozempic^® during pregnancy, while trying to conceive, or if you’re breastfeeding. 
• Ozempic^® might affect fertility and birth control effectiveness; make sure to discuss your family plans or birth control methods with your doctor.          
• For those considering restarting Ozempic^® postpartum, consult your healthcare provider to discuss timing.

Have you heard the term ‘Ozempic babies’? It refers to the surprising trend of people taking Ozempic^® or other GLP-1 medications and then experiencing unexpected pregnancies. This has sparked increased attention on how these medications might affect fertility and birth control. As Ozempic^® and similar drugs are now often prescribed for weight loss, understanding their impact on fertility, pregnancy, and contraception is becoming crucial for people with diverse health and family planning goals.

Let’s dive into what you really need to know about Ozempic® and how it connects to reproduction and fertility.

How does Ozempic^® work?

Ozempic^®, with the active ingredient semaglutide, belongs to a class of drugs called GLP-1 receptor agonists. They are designed to mimic a hormone called GLP-1, which reduces appetite, slows how quickly your stomach empties, and regulates blood sugar. Initially developed to help people with type 2 diabetes, Ozempic^® is now famous for off-label weight loss use. As its popularity grows, so do questions about its effect on pregnancy and fertility.

For those thinking about pregnancy—or trying to avoid it—it’s important to know that there’s still more to uncover about how Ozempic^® affects fertility. While animal studies have hinted at potential impacts on fertility, human data is limited. There’s also some uncertainty about how it might interact with birth control. 

So, who should be paying attention?

• People trying to get pregnant: You’ll want to discuss your options with a healthcare provider if you’re taking Ozempic^® or thinking about taking it. It’s generally recommended to stop Ozempic® at least two months before trying to conceive, but it’s essential to have a personalized plan for your health.
• People trying to prevent pregnancy: Make sure you’re informed about how Ozempic^® might affect your birth control. It’s not clear if it decreases its effectiveness, but having that conversation with your doctor could prevent surprises down the road.
• People who are pregnant or breastfeeding: Currently, there’s no clear guidance on when it’s safe to restart after pregnancy, so you’ll have to discuss this with your provider. If you’re breastfeeding, you shouldn’t take Ozempic^®.
• People whose partners are taking Ozempic^®: If your partner is taking Ozempic^® and you’re planning to start a family, it’s still a good idea to get all the facts.

How does Ozempic^® affect fertility?

There isn’t a clear answer yet. While some women have reported unexpected pregnancies while taking Ozempic^®, research on its direct effect on fertility is still ongoing. What we do know is that weight loss, in general, can positively influence fertility by regulating periods and improving the chances of getting pregnant for some people. It can also help with PCOS symptoms and PCOS-related fertility issues. This could explain why some people have experienced pregnancies while on Ozempic^®, as its weight loss effects may indirectly support fertility.

How does Ozempic^® affect birth control?

There are some concerns about how GLP-1 medications like Ozempic^® might affect certain types of birth control. It’s not completely clear yet how they interact, but because these medications slow down digestion, they could impact how well oral birth control methods work. To be extra cautious, it’s a good idea to use a backup method during the first four weeks after starting or upping your dose of a GLP-1 medication.

If you’re on Ozempic^® and want to avoid pregnancy, it’s really important to talk to your doctor. They can help you find the most effective birth control option for your situation and make sure you’re taking the right steps for your health and family planning.

Is Ozempic^® safe to use during pregnancy?

No, Ozempic® is not considered safe to use during pregnancy. Its effects on a developing baby are not fully understood. 

When to stop Ozempic^® before pregnancy

You should stop using Ozempic^® at least two months before trying to conceive because it takes several weeks for it to fully leave your body. Always inform your healthcare provider about your plans. Together, you can decide on a schedule that works for you.

Stopping Ozempic^® abruptly can lead to side effects like intense hunger or quick weight gain.  Work with your doctor or clinician to taper off the medication safely. They can help you create a plan that can make the transition smoother. Noom’s programs can also help you stick to healthy habits as you prepare for pregnancy.

What if I become pregnant while taking Ozempic or semaglutide?

If you become pregnant while taking Ozempic^® or semaglutide, consult your healthcare provider immediately for guidance and next steps.

Is Ozempic^® safe to use while breastfeeding?  

If you’re breastfeeding, you shouldn’t take Ozempic. Right now, we’re still learning about how this medication might affect nursing babies. Research (mainly conducted on rats) hasn’t yet shown how much Ozempic^® passes into breast milk or how it could impact a breastfed baby. 

When can I start taking Ozempic^® after pregnancy?

If you’re considering using Ozempic^® for weight management after having your baby, you should reach out to your doctor for more information. If you decide to breastfeed, you’ll have to wait to start a GLP-1 medication. Your doctor can prescribe alternative medications for weight loss if appropriate.

Remember, there are many ways to take care of your health after pregnancy. If you’re looking for support with weight management and overall wellness as a new mom, Noom’s personalized programs are designed to meet you where you are. We offer guidance on nutrition, exercise, and lifestyle habits that are safe and effective for postpartum women, helping you feel your best during this special time.

Get support for every phase of motherhood with Noom

Whether you’re planning for pregnancy, taking birth control, or adjusting to life as a new parent, Noom is here to offer guidance and support. We understand this is an important time for your body, and we’re here to help you feel your best. Our programs are designed to provide practical tools and personalized assistance during every stage of life.

For those who qualify, Noom Med will connect you with a clinician who will work with you to assess your health needs. They can prescribe weight loss medications, if needed.  

With a mix of tailored support and proven medication, if needed, Noom helps you manage your weight safely while you focus on taking care of your family. 

Note: Ozempic^® is not FDA-approved to treat obesity or for weight loss.